Individual provider · Type 1 NPI

Glenetta R. Black, MS, PMHP

Mental Health Counselor · Omaha, NE

NPI number 1649519737 Active

Practice location

3040 Lake St Ste 118
Omaha, NE 68111-3700

Call (402) 215-3433 Map

Fax (402) 445-4498

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X9886 (NE)

Mental Health Counselor: Definition to come...

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About NPI 1649519737

Glenetta R. Black, MS, PMHP's National Provider Identifier is 1649519737, issued on Feb 8, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Omaha, NE. The record was last updated on Feb 8, 2013.